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Health screenings administered during the domestic medical examination of refugees and other eligible immigrants in nine US states, 2014–2016: A cross- sectional analysis

PLoS Medicine Apr 07, 2020

Pezzi C, Lee D, Kumar GS, et al. - As receiving a domestic medical examination within 90 days following arrival to the United States is advised to refugees and other select visa holders, researchers undertook this cross-sectional study to estimate and compare screening proportions among refugees as well as other eligible populations to evaluate the domestic medical examination’s influence on screening coverage resulting from this examination. For this purpose, they analyzed domestic medical examination data from January 2014 to December 2016. The states covered were: California, Colorado, Minnesota, New York, Kentucky, Illinois, and Texas; one county (Marion County, Indiana) and one academic medical center in Philadelphia, Pennsylvania were also included. During the domestic medical examination, the observed rates of screening coverage for tuberculosis, hepatitis B, and HIV were high and for mental health, lower screening coverage was reported. As per evidence gained through this work, domestic medical examination affords a chance to ensure that recommended health screenings are received by newly arrived refugees and other eligible populations and that they are connected to the US healthcare system. There still exist knowledge gaps on how screenings are performed for some conditions, notably mental health.

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